What are the responsibilities and job description for the Revenue Integrity Senior Analyst position at Robert Half?
Responsibilities:
• Collect and analyze data from multiple sources to create detailed reports and statistical insights.
• Develop the scope and format of reports, ensuring they meet organizational needs and standards.
• Prepare and manage ad hoc management reports to support decision-making processes.
• Provide guidance, training, and mentorship to staff on accessing reports and interpreting data effectively.
• Identify trends in data and recommend strategies for enhancing quality and efficiency.
• Maintain and support reporting processes related to charge capture activities, including clinical workflows.
• Review and reconcile clinical documentation, surgical logs, and nursing records to ensure accurate coding and charge assignments.
• Conduct audits and reconciliations of electronic health records to confirm accurate billing and documentation compliance.
• Collaborate with clinical departments to ensure proper workflows and adherence to coding standards.
• Bachelor's degree with at least 1 year of relevant experience, or 3 years of cumulative job-specific experience.
• Minimum of 3 years of experience in revenue integrity, revenue cycle operations, hospital coding, surgical nursing, or revenue cycle informatics.
• Familiarity with healthcare revenue cycle processes, medical claims, and billing functions.
• Strong knowledge of medical coding standards, including ICD-10-CM codes.
• Proven ability to analyze data and identify trends for quality improvement.
• Experience providing leadership, training, and support to teams.
• Detail-oriented with excellent organizational and auditing skills.
• Preferred: 2 years of leadership or management experience in a related field.
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